# ZARRINKELK-SIAVASH-COPPELSON DENTAL PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063241966
- **Authorized official:** DR. HOOMAN ZARRINKELK DDS (PARTNER)
- **Authorized official phone:** (805) 648-5121

## Contact information

- **Practice address:** 2801 TOWNSGATE RD STE 120, THOUSAND OAKS, CA 91361-3030
- **Practice address phone:** (805) 728-1616
- **Practice address fax:** (805) 728-1630
- **Mailing address:** 5200 TELEGRAPH RD STE B, VENTURA, CA 93003-4185
- **Mailing address phone:** (805) 377-8990
- **Mailing address fax:** (805) 648-3670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2024
- **Last updated:** 07/30/2024
